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HomeMy WebLinkAbout2010-00786 - windows CITY OF ORONO PERMIT NO.: 2010-00786 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/20/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 845 WILLOW DR S PIN 10-117-23-22-0002 LEGAL DESC UNPLATTED 10 117 23 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WINDOWS ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 4,734.00 NOTE: REPLACING(10)WINDOWS INTO EXISITNG OPENINGS APPLICANT PERMIT FEE SCHEDULE 118.00 PRO BUILT AMERICA STATE SURCHARGE(VALUATION) 5.00 2211 11TH AVE.E. MN 55109- MAIL-IN FEE 2.00 (651)770-5570 TOTAL 125.00 Minnesota State License#:BC 2035684 PAID WITH CC# 0074 OWNER WILLIAMS,ROBERT&JORDANNA 845 WILLOW DR S MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformanee with the State Building Code.This permit may be revoked at anytimefor due cause. Applicant Permitee Signature Date Issued By gnature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . AUCs-31-2010 17:07 From:Window World 6517700495 To:9522494616 Page:1/3 X \, City of Orono ' Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc. Mailing Address: Permit number. 019�/ - Og o,j�� Po Box 66 Crystal Bay,MN 55323-0066 Date received: Sheat Address: Received by: 2750 Kelley Parkway Plan review feeZI og� Orono,MN 55356 ' Main: 952-249-46W Famc 952-249-4610 vh,%a.arono mn.ua Total Fes: This application form must be completed in full and all required infot ration must be submitted. Incomplete applications will be returned. (Pkww print) GENERAL INFORMATION: Job Site Addrms, 845 Willow Dr S Will this be a Parade of Homes, Remodelers Showcase Homme or other Display Home? 0 Yes No fryw a spec#W event permit is raptured wM Podoe Deparbpent and OW Cbund approval W*p pw b Bre event Sh&ft bus aerhioe wdr be ►equahid un s 4Pplicar►t sulricrant ai otm parrarng is av�labra NmVerrr*W ousels wff not be allowed. CONTRACTOR I APPLICANT INFORMATION: Names ProBuilt America State License# Expiration Date: Picone: 651-770-9315 (offiW) Mailing Address: 2211 I T ve J& Ci : N. Paul ZIP• 55109 C dad Person: Els Ltj.U.L Dadid: Applicant is: tractor / Homeowner prem ones Email and/or Fac eatherdow ndowworldtaa.corn-651-770-04 PROPERTY OWNER INFORMATION: Name: Rob Williams Phone(day): Adder; same as site CRY: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project Any earth movement ntay require MM review It pOnrtits E]Doogs) [jRemodel C]Water Damage Minnehaha Creek Watershed District(MCWD) m Windows) ❑Repair ❑Storm Damage 18202 Minratonke Blvd Deephaven.MN 55391 ❑Siding ❑Restoration ❑Other:(specify) Phone: 952-171-0590 Farr. 952.471 ❑Re-roof ❑Fre Damage s wfninnehahaaree t.nro Overall ProjectDescriplon: Replacing 10 windows not chariging size Estimated Construction Valuation of Project(excluding Iand) i 4734 APPLICANT ACKNOWLEDGEMENT: • Agrees.to pravtde all Warnution required or requested by the Building.Departrneru; • Certifies that the information supplied is true and corned to the best of histher knowledge_ The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so,the staff ha no eltemative but to mjed it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either pdvata or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either ft public or the subject of the data. Our purpose and intended use of this IMhxmadbn is to annually update our records and records of other governmental agencies required by law. It You refuse to WPOV the WarnatioN lbs @Rphadim may not be issued. Applicant's Signature: a Date: 08/27/10 Last updated: 05.04-2000 DAT TIME V CITY OF ORONO CALLED IN 9 INSPECTION NOTICE �'�Q SCHEDULED r.2 PERMIT NO.o�D/D—fie/ /u COMPLETED ADDRESS ���O I� OWNER // �W EPHONE NO!&2k 97-/(4-75, CONTRACTOR —A6UZ1 17640r- DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS��D W aU. fle LU cc O � U. ` C I�) Z W W rc Uj ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 1:1 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice